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Angiographic Intervention in Hemorrhagic Stroke

  • Chae Wook Huh
  • Duk Ho Gho
  • Sung-Chul Jin
Chapter
Part of the Stroke Revisited book series (STROREV)

Abstract

Angiographic intervention has an important role in the management of hemorrhagic stroke. Conventional cerebral angiography is the gold standard for the diagnosis of various vascular lesions that cause hemorrhagic stroke. With recent advancements in imaging techniques and endovascular devices, angiographic intervention in the treatment of hemorrhagic stroke has progressed as an alternative to surgery for inaccessible intracranial lesions or inoperable patients. In particular, the International Subarachnoid Aneurysm Trial (ISAT) established endovascular treatment as a feasible modality for the treatment of patients with aneurysmal subarachnoid hemorrhage (SAH). Various endovascular techniques, including conventional simple coil embolization, balloon-assisted coil embolization, stent-assisted coil embolization, and flow diversion, have been performed to prevent fatal rebleeding by blocking the aneurysm from the circulating blood flow. These techniques also provide useful treatment options for vascular lesions, such as dural arteriovenous fistula (dAVF) and arteriovenous malformation (AVM) that are another cause of hemorrhagic stroke. Hemorrhagic stroke requires urgent treatment to prevent fatal complications, and appropriate endovascular treatment options should be selected according to the anatomical configurations of the underlying vascular lesion.

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Copyright information

© Springer Science+Business Media Singapore 2018

Authors and Affiliations

  • Chae Wook Huh
    • 1
  • Duk Ho Gho
    • 2
  • Sung-Chul Jin
    • 1
  1. 1.Department of NeurosurgeryInje University Haeundae Paik HospitalBusanSouth Korea
  2. 2.Department of NeurosurgerySeodaegu HospitalBusanSouth Korea

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